"An unspoken world of unspoken things": a study identifying and exploring core beliefs underlying self-stigma among people living with HIV and AIDS in Ireland. Nadine Ferris France Steve H. Mcdonald Ronán Conroy Elaine Byrne Chris Mallouris Ian Hodgson Fiona N. Larkan 10779/rcsi.10776080.v1 https://repository.rcsi.com/articles/journal_contribution/_An_unspoken_world_of_unspoken_things_a_study_identifying_and_exploring_core_beliefs_underlying_self-stigma_among_people_living_with_HIV_and_AIDS_in_Ireland_/10776080 <p>PRINCIPLES: Human immunodeficiency virus (HIV) related self-stigma--negative self-judgements resulting in shame, worthlessness and self-blame - negatively influences access to care and treatment, and overall quality of life for people living with HIV (PLHIV). Despite evidence that high levels of self-stigma exist among PLHIV, and is experienced to a far greater extent than stigma received from the broader community, there is a paucity of research aimed at understanding causes and functions of self-stigma, and an absence of interventions to mitigate its harmful effects. Understanding the core beliefs underlying self-stigma is therefore essential.</p> <p>METHODS: This pilot study used a qualitative approach to analyse interviews and written statements to uncover core beliefs underlying self-stigma, the functions thereof, and strategies used to overcome it, among a heterogeneous group of PLHIV in Ireland.</p> <p>RESULTS: Core beliefs underlying HIV-related self-stigma were uncovered and grouped into four categories: disclosure; sexuality and sexual pleasure; self-perception; and body, illness and death. Reported functions of self-stigma included contributing to maintaining a "victim" status; providing protection against stigma received from others; and justifying non-disclosure of HIV status. To cope with self-stigma, participants highlighted: community involvement and professional development; personal development; and connection to others and sense of belonging. Findings were also used to create a conceptual framework.</p> <p>CONCLUSIONS: This study helps fill identified gaps in knowledge about self-stigma as experienced by PLHIV. By understanding the core beliefs driving self-stigma, it will be possible to create targeted interventions to challenge and overcome such beliefs, supporting PLHIV to achieve improved wellbeing and lead productive lives free of self-limitation and self-judgement.</p> 2019-11-22 15:51:26 HIV stigma self-stigma core beliefs PLHIV inquiry-based stress reduction cognitive behavioural therapy IBSR CBT self-worth